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-• — Billable <br /> SERVICE REPORT Factory Warr. ; <br /> S ,�I Maintenance i <br /> °FIROLEUMmArNTENANGEco I[= Not Billable I <br /> PRE3NO,CA <br /> ICl Bid Job <br /> (559)444-1730 * Fax:(559)444.1735 * 3887 N.Valentine Ave.* Fresno,CA 93722 * License No.779267 i <br /> r Please Vlsft our Website; www.Icservices.com <br /> !� Nfl 91596 <br /> Name:r—w/-5 c/0' S �� / �C� # 29 <br /> Service <br /> Address: '7 4 ZA rD —0 Date: <br /> [. l <br /> city:—LD 9 ) 7t'c A- Zip:-15—an Phone: work order <br /> Dispenser Make Cust.order K <br /> Dispenser Model: Close contU.A <br /> Dispenser Serial#: Parts Order 9 <br /> Pump Test:Gallons: Dollar Amt: <br /> Description of Work Performed <br /> .S L k'r <br /> ti0 1 <br /> I <br /> t <br /> M 1A h COI t V..- ti <br /> i <br /> s <br /> DATE COMPLETE 1,11111111111W. ive authorization to LC Services <br /> Print Name i <br /> rm,dal.lsr•�c�alrt5.076oa1YllNplwlmiwaxanlbnilrclW0`rdF1ryb•ody;kN WWdrllLe-Md to run my credit card as form of payment. j <br /> a a'rbrta rrF'M Pe�al B.N egeabll n!Prn�Yp psly N aA[+int x F b mrlau5k rRr+Waleel a+d E!(�utW latsscew . <br /> andErMlrvs4j sFrtlmca,e,y.wr4lRly pallblcuvm/rilgvrtl+tCMrwt/rsPMReelannroedlrcealta <br /> CardType; Card#: Billing Zip: <br /> Awls mylo<i eeFXy la I.NeI m,iou�Inutwi e�ipe(m m Pts Fq!lRerl <br /> N <br /> Exp Date:_/ _/ Security Code:__ I ers.�»lwoe!y plain h nenssa7,Var gFnlFrnhtian b yar dA�r.a yw as11,1!a b catslRNx Lry Farr I W e se -- -.J <br /> 1 <br /> OilHd!!4ad!rco.dnq drrd ll eptfrDb.a R.l11lpd RbJll!bA ppHdnq a K�6 Md pForo ANTAI. <br /> Name on Card: <br /> l.Nltlef'.arupm'd.p by6r,0.l FolsllCsasc.dhnt/uprssy�'msd«rnE s.dMelpess.dar MrpS!e.sWvSnq M� � 4 y�� .�D ' rr, �.7 ^7 1 <br /> mylnpArdssrteNydmrrellWaLlryol l4o-ol ktrpa5a!¢pupole.mdneinlrrisw.lFnot a4rtArlr.1/ethrFdloib uw+r Work Authorized by p 1ck6 I 6 lllly bate / `� ! <br /> #1 s7lrbUl h oosl'�KFan sal Ys aeY ri Lb Fro1W1. <br /> Print Name <br /> Qty Part No. Inv. Description &S/N Each Amount <br /> Loc# <br /> D r- <br /> v6 6h< <br /> Z ,4 ,�i c� a2 �i// 71 ris r <br /> i <br /> V',lo ker Date Depart Arrive Depart Stop 0/T <br /> r✓ 3n C7 Total Labor <br /> o �oU c O 'z 3D 5 Dc7 Total Parts j <br /> 7 7Oo 30 Mileage <br /> 3 3wp+. �►�t� t-�5 7e Q y Travel <br /> t <br /> 7-7D O Sales Tax <br /> Total Amount I <br /> t <br /> I <br />